Individual
DR. EDWIN L GRAINGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4242 E SOUTHCROSS, #9, SAN ANTONIO, TX 78222-3728
(210) 333-4421
(210) 333-4521
Mailing address
4242 E SOUTHCROSS, #9, SAN ANTONIO, TX 78222-3728
(210) 333-4421
(210) 333-4521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8349
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B08349-1
CHIPS
TX
Enumeration date
09/13/2006
Last updated
07/08/2007
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